JP6262908B1 - Medical system and medical program - Google Patents

Abstract

[PROBLEMS] To provide a medical system and a medical program capable of facilitating the collection of patients suitable for a clinical trial while suppressing the clinical trial cost. A medical system includes a clinical trial selection success / failure information and clinical trial selection condition information as clinical trial selection criteria information for specifying a selection criterion for selecting a patient to be guided to a clinical trial facility conducting a clinical trial, and a patient for specifying patient information. Based on the medical facility related information DB 431 storing the medical facility side patient information as information, the clinical trial selection success / failure information and clinical trial selection condition information stored in the medical facility related information DB 431, and the medical facility side patient information A patient selection unit 441 for selecting a patient to be guided to the facility, and a guide unit 444 for guiding the patient selected by the patient selection unit 441 to the clinical trial facility in the medical system 400. [Selection] Figure 2

Description

  The present invention relates to a medical system and a medical program.

  Conventionally, a clinical trial viewer system that supports clinical trial work has been known (see, for example, Patent Document 1). In this clinical trial viewer system, information on the subject who is the subject of the clinical trial (for example, medical record information) is photographed with an information terminal with a photographing function, and the photographed information is stored in a cloud server. The patient's information input error was prevented.

  By the way, with regard to clinical trials that are performed using the clinical trial viewer system of Patent Document 1, for clinical trials, recruiting candidates for clinical trials using newspaper advertisements, etc. Applicants who met the above conditions were selected as subjects, and clinical trials were conducted on the selected subjects.

Japanese Patent Laid-Open No. 2006-081474

  However, when recruiting clinical trial subjects using newspaper advertisements, etc. as in the past, many applicants do not consider the clinical trial conditions, but their intentions (for example, clinical trials for the treatment of their own disease) Since the application was made only by the will to receive, etc.), there was a possibility that applicants meeting the conditions of the clinical trial would be difficult to gather. In addition, the cost of newspaper advertisements for recruiting subjects increases, which may increase the cost of clinical trials.

  This invention is made | formed in view of the above, Comprising: It aims at providing the medical system and medical program which can make it easy to collect the patient suitable for a clinical trial, suppressing clinical trial cost.

In order to solve the above-described problems and achieve the object, the medical system according to claim 1 stores clinical trial selection criteria information for specifying selection criteria for selecting a patient to be guided to a clinical trial facility for clinical trials. Reference information storage means, patient information storage means for storing patient information for specifying the patient information, CPU, the clinical trial selection reference information stored in the clinical trial selection reference information storage means, and the patient information storage means The patient information stored in the patient, and based on the acquired clinical trial selection criteria information and the patient information, the patient selection means for selecting the patient to be guided to the clinical trial facility, and the CPU Guiding means for guiding the patient selected by the selecting means to the clinical trial facility, and medical facility information which is information on a plurality of medical facilities where the patient receives medical services are stored. Medical facility information storage means and the CPU obtains the medical facility information stored in the medical facility information storage means, and based on the acquired medical facility information, the medical care to guide the patient to the clinical trial facility Medical facility selection means for selecting a guidance target medical facility as a facility from the plurality of medical facilities, and the guide means receives the medical service of the guidance target medical facility selected by the medical facility selection means The medical facility is guided to the clinical trial facility, and the medical facility information storage means includes at least the number of papers information specifying the number of papers authored by a doctor who belongs to the plurality of medical facilities. are stored as information, the medical facility selecting unit, based on the number of articles information the medical facility information storage means stores, to select the guidance target medical facility

Further, in the medical system according to claim 2, in the medical system according to claim 1, the medical facility information storage means specifies at least the results of the number of candidates introduced as candidates for the clinical trial. Introduction result information is stored as the medical facility information, and the medical facility selection means selects the guidance target medical facility based on the introduction result information stored in the medical facility information storage means.

The medical system according to claim 3 is the medical system according to claim 1 or 2 , wherein the clinical trial facility information storage means for storing clinical trial facility information, which is information related to a plurality of clinical trial facilities, and the CPU, The clinical trial facility information stored in the clinical trial facility information storage means is acquired, and based on the acquired clinical trial facility information , the clinical trial facility to be guided, which is the clinical trial facility to guide the patient , is obtained from a plurality of the clinical trial facilities. It includes a study site selection means for selecting, wherein the guiding means for guiding the patient to the guidance target study site selected in the study center selection means.

Further, the medical system according to claim 4 is the clinical trial criteria information for specifying the criteria for judging whether or not to conduct the clinical trial of the patient in the medical system according to any one of claims 1 to 3. a trial determination criterion information storage means for storing, the CPU is, the trial criteria information storing means is acquired the trial criteria information stored in, based on the obtained the trial criteria information, said guide means Determination means for determining whether or not to conduct a clinical trial for the patient guided to the clinical trial facility, and the CPU includes an output means for outputting a determination result of the determination means.

Further, in the medical system according to claim 5 , in the medical system according to claim 4 , the CPU guides the patient who has not been determined to conduct the clinical trial by the determination means to another clinical trial facility. Re-guide means.

The medical program according to claim 6 is a medical program for selecting a patient to be guided to a clinical trial facility for conducting a clinical trial , wherein the CPU selects a selection criterion for selecting the patient to be guided to the clinical trial facility. The trial selection criteria information stored in the trial selection criteria information storage means for storing the clinical trial selection criteria information to be specified, and the patient information storage means for storing the patient information for specifying the patient information related to the selection criteria. Patient information is acquired, and based on the acquired clinical trial selection criteria information and the patient information , patient selection means for selecting the patient to be guided to the clinical trial facility, and the CPU are selected by the patient selection means. The guidance means for guiding the patient to the clinical trial facility, and the medical facility in which the CPU is information on a plurality of medical facilities where the patient receives medical services Obtaining the medical facility information stored in the medical facility information storage means for storing information, and, based on the acquired medical facility information, a guidance target medical facility that is a medical facility that should guide the patient to the trial facility The guide means functions as a medical facility selection means for selecting from the plurality of medical facilities, and guides the patient receiving the medical service of the target medical facility selected by the medical facility selection means to the clinical trial facility. The medical facility information storage means stores, as the medical facility information, at least paper number information for specifying the number of papers authored by doctors belonging to the plurality of medical facilities. The facility selection means selects the guidance target medical facility based on the number-of-papers information stored in the medical facility information storage means .

According to the medical system of claim 1, by selecting a patient to be guided to the clinical trial facility based on the clinical trial selection criterion information and the patient information, for example, the patient is limited based on the selection criterion for selecting the patient. Therefore, it is possible to easily collect patients suitable for the clinical trial. In addition, for example, since a patient can be selected based on patient information, it is not necessary to recruit patients using newspaper advertisements, etc., and it is possible to reduce the cost of clinical trials by reducing patient recruitment costs. .
In addition, by guiding the patient selected as the patient selection means to the clinical trial facility, for example, a patient who can be a candidate for the clinical trial can be surely visited the clinical trial facility. It becomes possible to make it easy to collect. Further, for example, regardless of whether or not the patient has recognized the existence of the clinical trial, it is possible to present a new treatment option to the patient.
In addition, by selecting a target medical facility as a medical facility that should guide the patient to the clinical trial facility from a plurality of medical facilities, for example, a contract for guiding the patient for the clinical trial is concluded with any medical facility. Therefore, it is possible to reduce the cost of clinical trials by reducing the costs for concluding the above-mentioned contract (for example, negotiation costs and monetary costs paid as a price). In addition, for example, since it is possible to prevent patients from being referred to the clinical trial facility from any medical facility, it is possible to prevent an increase in the number of patients being referred to and hinder the work on the clinical trial facility. It becomes possible.

According to the medical system of the third aspect , by selecting a guidance target clinical trial facility which is a clinical trial facility to guide a patient from a plurality of clinical trial facilities, for example, a clinical trial facility suitable for the clinical trial can be selected. Therefore, it is possible to improve the accuracy of the clinical trial to be performed.

According to the medical system of the fourth aspect , by determining whether or not to conduct a clinical trial, for example, it is possible to reduce the work process involving humans in relation to the clinical trial, thereby reducing the work burden for conducting the clinical trial. It becomes possible to do.

According to the medical system of the fifth aspect , by guiding a patient who has not been determined to conduct a clinical trial to another clinical trial facility, for example, it is easy to collect patients suitable for the clinical trial at another clinical trial facility. It becomes possible to do. In addition, for example, a new treatment option can be presented to a patient who wishes to take a clinical trial.

According to the medical program of claim 6 , by selecting a patient to be guided to the clinical trial facility based on the selection criterion information and the patient information, for example, limiting the patient based on the selection criterion for selecting the patient Therefore, it is possible to easily collect patients suitable for the clinical trial. In addition, for example, since a patient can be selected based on patient information, it is not necessary to recruit patients using newspaper advertisements, etc., and it is possible to reduce the cost of clinical trials by reducing patient recruitment costs. .
In addition, by guiding the patient selected as the patient selection means to the clinical trial facility, for example, a patient who can be a candidate for the clinical trial can be surely visited the clinical trial facility. It becomes possible to make it easy to collect. Further, for example, regardless of whether or not the patient has recognized the existence of the clinical trial, it is possible to present a new treatment option to the patient.
In addition, by selecting a target medical facility as a medical facility that should guide the patient to the clinical trial facility from a plurality of medical facilities, for example, a contract for guiding the patient for the clinical trial is concluded with any medical facility. Therefore, it is possible to reduce the cost of clinical trials by reducing the costs for concluding the above-mentioned contract (for example, negotiation costs and monetary costs paid as a price). In addition, for example, since it is possible to prevent patients from being referred to the clinical trial facility from any medical facility, it is possible to prevent an increase in the number of patients being referred to and hinder the work on the clinical trial facility. It becomes possible.

It is a figure which illustrates the medical environment where the medical system and medical program which concern on this Embodiment are applied. 1 is a block diagram of a medical system. It is the figure which illustrated medical facility specific information. It is the figure which illustrated medical facility side patient information. It is the figure which illustrated doctor information. It is the figure which illustrated medicine information. It is the figure which illustrated clinical trial selection success / failure information. It is the figure which illustrated clinical trial facility information. It is the figure which illustrated clinical trial related patient information. It is a flowchart of clinical trial facility selection processing. It is a flowchart of a medical facility selection process. It is a flowchart of a question answer information storage process. It is a flowchart of a patient guidance process. It is a flowchart of a clinical trial determination process.

  Hereinafter, embodiments of a medical system and a medical program according to the present invention will be described in detail with reference to the drawings. However, the present invention is not limited by this embodiment.

[Basic concept of the embodiment]
First, the basic concept of the embodiment will be described. Embodiments generally relate to medical systems. Here, the “medical system” is a system related to medical care, specifically, at least a system for selecting a patient to be guided to a clinical trial facility, for example, a dedicated system for selecting a patient to be guided to a clinical trial facility. It is a concept including a system or a system realized by implementing a function of selecting a patient to be guided to a clinical trial facility with respect to a medical system or a general-purpose system. The “medical system” is a concept including, for example, a system realized by an aggregated computer, or a system realized by a plurality of computers that are distributed and can communicate with each other.

  “Clinical trial facility” refers to a facility that conducts clinical trials. For example, a clinical trial is conducted in response to a request from a clinical trial request source (for example, a pharmaceutical company or a contracted organization that has contracted clinical trials from a pharmaceutical company). As an example, it is a concept including a so-called general hospital, a university hospital, and the like that are relatively large-scale hospitals. In addition, “clinical trial” is to clinically confirm the efficacy and safety of a drug, for example, in order to obtain approval of a new drug from a predetermined government office or the like. In addition, a “patient” is a person who has some health problem, for example, a person who visited a medical facility and received a diagnosis or advice from a doctor or medical staff, or visited a medical facility. It is a concept that includes those who have some subjective symptoms of health.

  In addition, the “medical facility” is a facility that provides medical services (for example, services performed based on medicine for treatment, diagnosis, prevention, etc.), for example, a facility different from the clinical trial facility. It is a concept that includes a relatively small so-called clinic.

  In the embodiment described below, a case where the “medical system” is configured by a management server that is a computer and a terminal device that can access the management server will be described.

(Constitution)
First, the configuration of the medical system according to the embodiment will be described. FIG. 1 is a diagram illustrating a medical environment to which the medical system according to the present embodiment is applied, and FIG. 2 is a block diagram of the medical system. Note that the number of clinical trial facilities and medical facilities included in the medical environment of FIG. 1 may actually be more or less than that shown in the figure, but here, for convenience of explanation, 3 each. Each one is shown.

  In addition, here, the commissioned institution 12 commissions a clinical trial of a drug (for example, an anticancer drug for liver cancer) newly developed by the pharmaceutical company 11 in FIG. 1, and the commissioned institution 12 etc. -23 (each clinical trial facility is collectively referred to as “Clinical trial facility 2”), and the clinical trial target facility is selected, and medical facilities 31 to 33 (each medical facility is collectively referred to as “medical facility 3”) An example will be described in which a facility is selected and the patient of the selected medical facility for guidance is guided to the selected clinical trial facility for guidance described above. The “guidance target clinical trial facility” is a clinical trial facility where a patient should be guided, and the “guidance target medical facility” is a medical facility where a patient should be guided to the clinical trial facility.

  The medical system 400 of FIG. 2 is generally configured to include a management server 4 and a terminal device 5, and the management server 4 and the terminal device 5 are wired or wirelessly connected to each other via a network. It is connected so that communication is possible. This medical system 400 is an existing medical system (for example, a system capable of exchanging various types of information between a plurality of doctors or between a plurality of hospitals using a portable terminal or a stationary terminal). ) Or a part of a so-called social networking service (SNS: Social Networking Service). However, here, for example, it is assumed to be realized by being incorporated into an existing medical system. Note that the installation location and mounting method of the management server 4 are arbitrary, and can be configured by a plurality of distributed servers or the like, or by one or more servers provided in a specific location such as a management building. Although it can be configured, it is described here as being configured by one server for convenience of explanation. Further, the terminal device 5 is actually a plurality of devices used by the user of the medical system 400 (person who accesses the management server 4), for example, the pharmaceutical company 11, the contract organization 12, the clinical trial in FIG. Although it is a plurality of portable terminals carried by the users belonging to the facility 2 and the medical facility 3 (medicine information personnel, medical workers, etc. described later) or a plurality of stationary terminals used by these users. For convenience of explanation, only one generic name is shown. In the following description, only when it is necessary to distinguish, the user of the terminal device 5 will be specifically shown and described, and in other cases, the user will be described generically without showing the user.

(Configuration-management server)
Next, the configuration of the management server 4 will be described. The management server 4 includes, for example, a communication unit 41, an operation unit 42, a recording unit 43, and a control unit 44. In addition, since this management server 4 can be comprised by the well-known server etc. which were installed in the management building, the detailed description is abbreviate | omitted.

(Configuration-Management server-Communication unit)
The communication unit 41 is a communication unit for communicating with the terminal device 5. The specific type and configuration of the communication unit 41 are arbitrary, but can be configured using, for example, a known communication circuit (the same applies to the communication unit 51 described later).

(Configuration-Management server-Operation unit)
The operation unit 42 is an operation unit that receives an operation input by a user. The specific type and configuration of the operation unit 42 is arbitrary, but can be configured using, for example, a known input device such as a mouse, a keyboard, or a touch pad (the same applies to the operation unit 52 described later). To do).

(Configuration-Management server-Recording unit)
The recording unit 43 is a recording unit that records a program and various data necessary for the operation of the management server 4. The recording unit 43 is configured using, for example, a hard disk (not shown) as an external recording device. However, any other recording medium including a magnetic recording medium such as a magnetic disk or an optical recording medium such as a DVD or a Blu-ray disk can be used instead of or together with the hard disk (a recording unit 55 described later). The same shall apply to

  The recording unit 43 includes, for example, a medical facility related information database 431 (hereinafter, the database is referred to as “DB”) and a clinical trial facility related information DB 432.

(Configuration-management server-recording unit-medical facility related information DB)
The medical facility related information DB 431 is a storage unit that stores information related to a medical facility, for example, a medical facility information storage unit that stores medical facility information, a patient information storage unit that stores patient information, and clinical trial selection reference information. For example, medical facility specifying information, medical facility side patient information, doctor information, drug information, clinical trial selection information, and clinical trial selection condition information, which will be described later, are stored. Is.

  Here, the “medical facility information” is information regarding a plurality of medical facilities where the patient receives medical services, and is a concept including, for example, medical facility specifying information, doctor information, and medicine information, which will be described later. “Patient information” is information for specifying patient information, and is a concept including, for example, medical facility-side patient information, which will be described later. “Clinical trial selection criteria information” is information that specifies selection criteria for selecting patients to be guided to a clinical trial facility that conducts clinical trials. For example, the concept includes clinical trial selection success / failure information and clinical trial selection condition information, which will be described later. It is.

  Below, medical facility specific information, medical facility side patient information, doctor information, drug information, trial selection success / failure information, and clinical trial selection condition information will be specifically described.

(Configuration-management server-recording unit-medical facility related information DB-medical facility specifying information)
First, FIG. 3 is a diagram illustrating medical facility identification information. In FIG. 3, “...” Indicates that specific information is omitted for convenience of explanation (the same applies to each figure other than FIG. 3). As shown in FIG. 3, the medical facility specifying information includes an item “medical facility ID”, an item “medical facility name information”, an item “medical facility address information”, an item “clinical department information”, and an item “bed number information”. The item “doctor ID”, the item “medicine record information”, the item “referral record information”, the item “patient ID”, and information corresponding to each item are associated with each other.

  Here, the information corresponding to the item “medical facility ID” is medical facility identification information that uniquely identifies the medical facility (hereinafter, the identification information is referred to as “ID”) (FIG. 3 is illustrated in FIG. 1). IDH1 "," IDh2 "," IDh3 ", etc.) that identify each of the medical facilities 31-33 that are present. Further, the information corresponding to the item “medical facility name information” is medical facility name information for specifying the name of the medical facility (in FIG. 3, each name of the medical facility 3 illustrated in FIG. 1 is “ A clinic "). Further, the information corresponding to the item “medical facility address information” is medical facility address information for specifying the address of the medical facility (in FIG. 3, “Tokyo ...”, etc.). Further, the information corresponding to the item “clinical department information” is clinical department information for identifying the clinical department provided in the medical facility (in FIG. 3, the information provided in the medical facility is based on the specialized field of the doctor). And “Digestive Surgery”. Further, the information corresponding to the item “bed number information” is bed number information for specifying the number of beds (in FIG. 3, “20” for specifying 20 etc.).

  Further, the information corresponding to the item “doctor ID” is a doctor ID that uniquely identifies the doctor (in FIG. 3, the ID of the doctor who belongs to the medical facility and provides the medical service. ("IDd11" or the like for identifying a doctor providing a medical service). Moreover, the information corresponding to the item “drug performance information” is drug performance information for specifying the performance of the medicine prescribed or administered at the medical facility (in FIG. 3, a past predetermined period (for example, from five years ago to the present etc.) ) Is an actual result in “IDm11 (300)”). Note that “IDm11 (300)” in FIG. 3 indicates that a medicine whose medicine ID is “IDm11” described later is prescribed or administered in an amount of 300 (kg) corresponding to “300”. In addition, the information corresponding to the item “introduction result information” is an introduction that identifies the results introduced to the clinical trial facility (trial facility 2 or clinical trial facilities other than the clinical study facility 2) as candidates for clinical trials for patients with hospital visits. This is performance information (in FIG. 3, it is an introduction performance within the past predetermined period (for example, from 5 years ago to the present) of the medical facility, such as “50” that identifies 50 people). Further, the information corresponding to the item “patient ID” is a patient ID that uniquely identifies a patient (in FIG. 3, there is a record of a visit to a medical facility within a predetermined period in the past (for example, from 6 months ago to the present). It is the ID of a certain patient, such as “IDp1” that identifies the patient who has visited the medical facility 31).

  Such medical facility identification information can be stored by an arbitrary method. For example, a medical worker (that is, a doctor, a nurse, a medical office worker, etc.) of the medical facility 3 has his / her own terminal. From the terminal device 5 side by data communication between the terminal device 5 and the management server 4 performed when the terminal device 5 receives a predetermined operation input by operating an operation unit 52 described later of the device 5. It is transmitted to the management server 4 and stored. In other words, the medical staff of the medical facility 3 can send each piece of information related to his / her medical facility 3 to the clinical trial facility 2 at any timing (for example, when the medical system 400 starts operation, when a medicine is prescribed or administered). It is stored by inputting at the time of referral, etc.

(Configuration-Management server-Recording unit-Medical facility related information DB-Medical facility side patient information)
Next, FIG. 4 is a diagram illustrating medical facility side patient information. As shown in FIG. 4, the medical facility side patient information includes, for example, an item “patient ID”, an item “patient name information”, an item “patient sex information”, an item “patient age information”, and an item “patient disease information”. And the item “question answer information” and information corresponding to each item are associated with each other. Information corresponding to the item “patient ID” is the same as the information of the item having the same name in FIG.

  Here, the information corresponding to the item “patient name information” is patient name information for specifying the name of the patient (“PP 11 etc.” in FIG. 4). The information corresponding to the item “patient sex information” is patient sex information for specifying the sex of the patient (in FIG. 4, “male” for specifying a man or “woman” for specifying a woman). The information corresponding to the item “patient age information” is patient age information for specifying the age of the patient (“65” for specifying 65 years in FIG. 4). The information corresponding to the item “patient disease information” is patient disease information for specifying a disease that the patient suffers from (in FIG. 4, the disease name is “liver cancer” or the like).

  Further, the information corresponding to the item “question answer information” is question answer information used for selecting a patient to be guided to the clinical trial facility, for example, information corresponding to the trial selection success / failure information or the clinical trial selection condition information. (In FIG. 4, “Heart attack: none, stroke: 2 to 3 years ago, chronic disease: high blood pressure,...” Or “no information” indicating that the information has not yet been recorded) . In addition, for “heart attack: none, stroke: 2 to 3 years ago, chronic disease: high blood pressure,...” In FIG. 4, three specific questions separated by “,” and the question An answer is specified. Specifically, a question keyword (for example, question information in FIG. 7 described later) is written on the left side of the “:” drawing, and an answer to the question (for example, on the right side of the “:” drawing (for example, , Reply information in FIG. 7 to be described later). The specific contents of these questions and answers will be described later with reference to FIG.

  The medical facility side patient information (information other than the question answer information) in FIG. 4 can be stored by any method. 3 is stored by operating its own terminal device 5 as in the case of the medical facility specifying information 3. In other words, the medical staff of the medical facility 3 stores the information of the patient of his / her medical facility 3 by inputting the information of the patient of his / her medical facility 3 at an arbitrary timing (for example, when the patient visits the patient or diagnoses the patient). The storage of question answer information of medical facility side patient information will be described later.

(Configuration-management server-recording unit-medical facility related information DB-doctor information)
Next, FIG. 5 is a diagram illustrating doctor information. As shown in FIG. 5, doctor information includes, for example, an item “doctor ID”, an item “doctor name information”, an item “special information”, and an item “number of articles information”, and information corresponding to each item. Are related to each other. The information corresponding to the item “doctor ID” is the same as the information of the item having the same name in FIG.

  Here, the information corresponding to the item “doctor name information” is doctor name information that identifies the name of the doctor (“DD 11” in FIG. 5). Further, the information corresponding to the item “special information” is specialized information for specifying the specialized field of the doctor (in FIG. 5, “digestive surgery” corresponding to the classification of the specialized field of the doctor). The information corresponding to the item “number of papers” is information on the number of papers specifying the number of papers authored by doctors (in FIG. 5, published in academic journals, academic journals, academic journals, etc.). 200 articles (that is, “200” etc. specifying 200 reports)).

  The doctor information of FIG. 5 can be stored by an arbitrary method. For example, some information (information other than the number of articles information of FIG. 5) can be stored in the medical facility 3. The worker is stored by operating his / her own terminal device 5 as in the case of the medical facility specifying information of FIG. That is, the medical staff of the medical facility 3 stores the information of the doctor of his / her medical facility 3 by inputting the information of the doctor of his / her medical facility 3 at an arbitrary timing (for example, at the start of operation of the medical system 400, when a doctor is employed). . In addition, for some other information (information on the number of papers in FIG. 5), a medical worker at the medical facility 3 or a medical information representative at the pharmaceutical company 11 or the commissioned organization 12 (that is, MR: Medical Representative). , Access to a predetermined database (for example, at least one database that stores articles published in academic journals, academic journals, academic journals, etc.) As described above, it is stored by operating its own terminal device 5 as in the case of the medical facility specifying information of FIG. That is, the medical staff at the medical facility 3 or the medical information staff at the pharmaceutical company 11 or the commissioned organization 12 can obtain the number of articles information at any timing (for example, when the operation of the medical system 400 is started, when a doctor is employed, Or, after information other than the number-of-papers information in FIG.

(Configuration-Management server-Recording unit-Medical facility related information DB-Drug information)
Next, FIG. 6 is a diagram illustrating drug information. As shown in FIG. 6, the drug information includes, for example, an item “drug ID”, an item “drug name information”, an item “drug disease information”, and information corresponding to each item, which are associated with each other. Has been.

Here, the information corresponding to the item “drug ID” is a drug ID that uniquely identifies the drug (in FIG. 6, “IDm11” or the like that identifies one anticancer drug for liver cancer).
Further, the information corresponding to the item “medicine name information” is drug name information for specifying the name of the drug (in FIG. 6, “A drug” or the like). Further, the information corresponding to the item “drug disease information” is drug disease information for specifying a disease to be treated using a drug (in FIG. 6, the disease name is “liver cancer” or the like). .

  The drug information of FIG. 6 can be stored by an arbitrary method. For example, a person in charge of medical information of the pharmaceutical company 11 or the contract organization 12 or a medical staff of the medical facility 3 As in the case of the medical facility specifying information in FIG. 3 described above, the information is stored by operating its own terminal device 5.

(Configuration-Management server-Recording unit-Medical facility related information DB-Clinical trial selection information)
Next, FIG. 7 is a diagram illustrating trial selection success / failure information. As shown in FIG. 7, the trial selection success / failure information includes, for example, an item “question information”, an item “answer information”, an item “response information”, and information corresponding to each item in association with each other. Has been.

  Here, the information corresponding to the item “question information” is question information for specifying a question for selecting a patient to be guided to a clinical trial facility (in FIG. 7, a keyword for specifying the question, ”,“ Stroke ”,“ disease ”, etc.). The “heart attack” in FIG. 7 is a keyword that identifies the question “Have you ever experienced a heart attack? If so, when?” “Stroke” Is the keyword specifying the question “when have you had a stroke in the past? When is it?”, “Chick” is the question “Do you have chronic disease?” It shall be a keyword.

  The information corresponding to the item “answer information” is answer information for specifying an answer for selecting a patient to be guided to the clinical trial facility (in FIG. 7, the answer corresponds to the question, and “heart attack” Corresponding to the question "~ 1 year ago"). The answers to the “heart attack” question in FIG. 7 are “˜1 year ago”, “1 year ago-2 years ago”, “2 years ago-3 years ago”, and “3 years ago˜”. In the past, it has been specified that the heart attack has been experienced, and the heart attack that has been experienced is based on the present, "from one year ago to the present", "two years ago to one year It has been identified as “Previous”, “Between 3 years ago and 2 years ago”, “Past than 3 years ago”, while “None” has never experienced a heart attack Is specified. The answer to the “stroke” question is the same as the answer to the “heart attack” question. In addition, “hypertension” and “diabetes” that are answers to the “disease” question specify that the patient has a chronic disease, and that the disease is “hypertension” and “diabetes”. On the other hand, “none” specifies that the patient has no chronic illness.

  Further, the information corresponding to the item “correction information” is correct / incorrect information for specifying an index for selecting a patient to be guided to the clinical trial facility (in FIG. 7, it is an index associated with the response information, “This” is a positive indicator to guide the facility and “No” is a negative indicator).

  The clinical trial selection success / failure information of FIG. 7 can be stored by an arbitrary method. For example, from the viewpoint of appropriately conducting a clinical trial with a new drug in order to obtain approval from a predetermined government office, the pharmaceutical company 11 Alternatively, based on the clinical trial conditions set by the contracting organization 12, the pharmaceutical information staff of the pharmaceutical company 11 or the contracting organization 12 operates the terminal device 5 as in the case of the medical facility specifying information shown in FIG. Stored. In other words, the information is stored by inputting information at any timing (for example, at the start of operation of the medical system 400) by a pharmaceutical information person in charge of the pharmaceutical company 11 or the commissioned organization 12.

(Configuration-Management server-Recording unit-Medical facility related information DB-Clinical trial selection condition information)
Next, “clinical trial selection condition information” (not shown) stored in the medical facility related information DB 431 is a selection criterion for selecting a patient to be guided to a clinical trial facility that conducts a clinical trial using the clinical trial selection information of FIG. The information to be specified is, for example, arbitrary information as long as the success / failure information of the trial selection success / failure information is used. In other words, as the trial selection condition information (not shown), for example, “There is no rejection in the validity information (that is, all is true)”, “No or wrong in the validity information is one or less”, or Arbitrary information such as “Heart attack and stroke is right” can be used, but here, for example, as clinical trial selection condition information, “No / No in the right / no-go information (that is, all right) ”Will be described.

  Such clinical trial selection condition information can be stored by an arbitrary method. For example, it is stored in the same manner as the clinical trial selection information shown in FIG.

(Configuration-Management server-Recording unit-Clinical trial facility related information DB)
The clinical trial facility related information DB 432 in FIG. 2 is storage means for storing information related to clinical trial facilities. For example, clinical trial facility information storage means for storing clinical trial facility information, clinical trial related patient information storage for storing clinical trial related patient information. It functions as a clinical trial criteria information storage means for storing the clinical trial criteria information and clinical trial criteria information. For example, it stores clinical trial facility information, clinical trial related patient information, and clinical trial criteria information.

  Hereinafter, the clinical trial facility information, the clinical trial related patient information, and the clinical trial determination criterion information will be described in detail.

(Configuration-Management server-Recording unit-Study facility related information DB-Study facility information)
First, “clinical facility information” is information regarding a plurality of clinical facilities. FIG. 8 is a diagram illustrating trial facility information. As shown in FIG. 8, the clinical trial facility information includes, for example, an item “Clinical trial facility ID”, an item “Clinical trial facility name information”, an item “Clinical trial facility address information”, and an item “Clinical trial result information”. Corresponding information is associated with each other.

  Here, the information corresponding to the item “trial site ID” is the clinical site ID that uniquely identifies the clinical site (in FIG. 8, “IDt1 that identifies each clinical site 21 to 23 shown in FIG. 1). ”,“ IDt2 ”,“ IDt3 ”, etc.). The information corresponding to the item “trial site name information” is trial site name information for specifying the name of the trial site (in FIG. 8, the name of each trial site 2 shown in FIG. 1 is “ A General Hospital "). The information corresponding to the item “Clinical trial facility address information” is clinical trial facility address information for specifying the clinical trial facility address (in FIG. 8, “Tokyo,...”, Etc.). Further, the information corresponding to the item “Clinical Trial Result Information” is the clinical trial result information for identifying the number of times selected as a guidance target clinical trial facility and the disease treated with the clinical trial drug (in FIG. 8, in FIG. This is information combining the information corresponding to the drug disease information in the drug information and the number of times, such as “liver cancer (10)”). It should be noted that the “liver cancer (10)” in FIG. 8 has been selected 10 times in the past as a guidance target clinical trial facility for drugs for treating liver cancer (that is, in the clinical trial facility 21 in FIG. The following description will be given on the assumption that there is a track record of 10 types of clinical trials regarding drugs to be treated.

  The clinical trial facility information of FIG. 8 can be stored by an arbitrary method. For example, the pharmaceutical information staff of the pharmaceutical company 11 or the contract organization 12, or the medical staff of the clinical trial facility 2 Is stored by operating its own terminal device 5 as in the case of the medical facility specifying information of FIG. That is, the information is stored by inputting information at any timing (for example, at the start of operation of the medical system 400, etc.) by the pharmaceutical information staff of the pharmaceutical company 11 or the commissioned organization 12, or the medical staff of the clinical trial facility 2.

(Configuration-Management server-Recording unit-Clinical trial facility related information DB-Clinical trial related patient information)
Next, “clinical trial related patient information” is information relating to the patient guided to the clinical trial facility. FIG. 9 is a diagram illustrating clinical trial related patient information. As shown in FIG. 9, the clinical trial related patient information includes, for example, an item “Clinical trial facility ID”, an item “Patient ID”, an item “Patient name information”, an item “Patient gender information”, an item “Patient age information”, The item “patient disease information”, the item “question answer information”, the item “clinical trial determination result information”, and information corresponding to each item are associated with each other.

  The information corresponding to the item “Clinical trial facility ID” is the same as the information of the item having the same name in FIG. The information corresponding to the item “patient ID”, the item “patient name information”, the item “patient sex information”, the item “patient age information”, the item “patient disease information”, and the item “question answer information” This is common with the information of the item having the same name in FIG.

  Here, the information corresponding to the item “clinical trial determination result information” is clinical trial determination result information for specifying a determination result as to whether or not to conduct a clinical trial on the patient (in FIG. 9, the result of the determination that the clinical trial is performed). A certain “subject” and “non-subject” as a result of determining that the trial is not conducted).

  Such trial-related patient information of FIG. 9 can be stored by an arbitrary method. For example, some information (information other than the clinical trial determination result information of FIG. 9) will be described later. It is stored in the patient guidance process, and some other information (trial determination result information in FIG. 9) is stored in the clinical trial determination process described later.

(Configuration-Management server-Recording unit-Clinical trial facility related information DB-Clinical trial criteria information)
Next, “clinical trial determination criterion information” (not shown) stored in the clinical trial facility related information DB 432 is information for specifying a determination criterion for determining whether or not to conduct a clinical trial of a patient, and is arbitrary information. For example, information specifying conditions different from the above-described clinical trial selection condition information (for example, conditions stricter than the clinical trial selection condition information), and a detailed examination (for example, blood test, MRI examination) of a patient performed at the clinical trial facility side Etc.) is information that specifies the condition of the item specified by (for example, the number of red blood cells and white blood cells is within a predetermined range and the size of cancer is within a predetermined range).

  Such clinical trial criteria information can be stored by any method, but is stored in the same manner as the clinical trial selection information shown in FIG.

(Configuration-Management server-Control unit)
2 is a control means for controlling the management server 4. Specifically, the CPU, various programs interpreted and executed on the CPU (basic control programs such as an OS, and startup on the OS). And an internal memory such as a RAM for storing programs and various types of data. In particular, the medical program according to the embodiment is substantially installed in the management server 4 via an arbitrary recording medium or network, thereby substantially configuring each unit of the control unit 44 (the same applies to the control unit 56 described later). To do).

  The control unit 44 includes a patient selection unit 441, a medical facility selection unit 442, a clinical trial facility selection unit 443, a guide unit 444, a determination unit 445, and an output unit 446 in terms of functional concept. Then, the patient selection unit 441 selects a patient to be guided to the clinical trial facility 2 based on the clinical trial selection reference information stored in the medical facility related information DB 431 and the patient information stored in the medical facility related information DB 431. It is a selection means. Based on the medical facility information stored in the medical facility related information DB 431, the medical facility selection unit 442 selects, from a plurality of medical facilities 3, a medical facility 3 to be guided that is a medical facility 3 that should guide the patient to the clinical trial facility 2. It is a medical facility selection means. The clinical trial facility selection unit 443 selects a clinical trial facility that is a clinical trial facility 2 to guide a patient from a plurality of clinical facilities 2, based on the clinical facility information stored in the clinical facility related information DB 432. It is. The guide unit 444 is a guide unit that guides the patient selected by the patient selection unit 441 to the clinical trial facility 2. The determination unit 445 is a determination unit that determines whether or not to conduct a clinical trial on the patient guided by the guide unit 444 to the clinical trial facility 2 based on the clinical trial determination reference information stored in the clinical trial facility related information DB 432. The output unit 446 is an output unit that outputs the determination result of the determination unit 445. The processing performed by each unit of the control unit 44 will be described later.

(Configuration-terminal device)
Next, the configuration of the terminal device 5 will be described. The terminal device 5 is a generic name of devices used by a person who accesses the management server 4, for example, as an example, a person in charge of pharmaceutical information of the pharmaceutical company 11 or the contract organization 12, or the clinical trial facility 2 or the medical facility 3. It is a device that can be configured as a portable terminal used by a medical worker or a stationary terminal. The terminal device 5 includes, for example, a communication unit 51, an operation unit 52, a display 53, a speaker 54, a recording unit 55, and a control unit 56.

(Configuration-Terminal device-Communication unit)
The communication unit 51 is a communication unit for communicating with the management server 4.

(Configuration-Terminal device-Operation unit)
The operation unit 52 is an operation unit that receives an operation input by a user.

(Configuration-Terminal device-Display)
The display 53 is a display unit that displays various images based on the control of the control unit 56. The specific type and configuration of the display 53 is arbitrary, but it can be configured using, for example, a known flat panel display such as a liquid crystal display or an organic EL display.

(Configuration-Terminal device-Speaker)
The speaker 54 is sound output means for outputting various sounds based on the control of the control unit 56. The specific type and configuration of the display 53 is arbitrary, but can be configured using, for example, a known audio output circuit.

(Configuration-Terminal device-Recording unit)
The recording unit 55 is a recording unit that records a program and various data necessary for the operation of the terminal device 5.

(Configuration-Terminal device-Control unit)
The control unit 56 is a control unit that controls the terminal device 5. The processing performed by each unit of the control unit 56 will be described later.

(processing)
Next, processing executed by the medical system 400 configured as described above will be described. Here, for example, clinical trial facility selection processing, medical facility selection processing, question answer information storage processing, patient guidance processing, and clinical trial determination processing will be described.

(Processing-Clinical facility selection processing)
Next, clinical trial facility selection processing will be described. FIG. 10 is a flowchart of the trial facility selection process (in the following description of each process, step is abbreviated as “S”). “Clinical trial facility selection process” is a process of selecting a trial target clinical trial facility, for example, a process mainly performed by the management server 4. The timing of executing this clinical trial facility selection process is arbitrary, but for example, the person in charge of medical information of the consignment organization 12 in FIG. 1 can access his / her terminal in order to access the management server 4 to execute the clinical trial facility selection process. A description will be given from the start of execution on the assumption that a predetermined operation is performed via the operation unit 52 of the apparatus 5 and the execution is started. Note that access between the terminal device 5 and the management server 4 is performed by communication between the communication unit 51 of the terminal device 5 and the communication unit 41 of the management server 4. It will be performed using technology, and detailed description in this application will be omitted. Here, for example, in order to select a clinical trial target facility for conducting a clinical trial of an anticancer drug for liver cancer newly developed by the pharmaceutical company 11 of FIG. The description will be made on the assumption that the clinical trial facility selection process is started by performing a predetermined operation for designating “liver cancer”, which is a disease to be treated using an anticancer agent for the target liver cancer.

  First, in SA1 of FIG. 10, the clinical trial facility selection unit 443 of the management server 4 acquires information. Although a specific method is arbitrary, for example, “liver cancer”, which is information on a disease designated at the time of starting the trial facility selection process, and the trial facility information in FIG. 8 are acquired.

  Returning to FIG. 10, in SA2, the clinical trial facility selection unit 443 of the management server 4 selects the clinical trial facility to be guided. Although a specific method is arbitrary, for example, based on each information acquired in SA1, a predetermined rule (for example, a rule reflecting the intention of the pharmaceutical company 1, for example, a drug to be studied is selected In accordance with the rule that the clinical trial facility with the greatest number of clinical trials for the disease to be treated is designated as the clinical trial facility, the clinical trial facility is selected from the clinical trial facility. Here, for example, as indicated by “liver cancer (10)” in the clinical trial information of the clinical trial facility ID “IDt1” in FIG. 8, the clinical trial facility 21 indicated by the clinical trial facility ID “IDt1” is SA1. Therefore, the trial facility 21 is selected as the guidance target trial facility.

  Returning to FIG. 10, in SA3, the clinical trial facility selection unit 443 of the management server 4 stores and outputs information. Although the specific method is arbitrary, for example, the guidance target clinical trial facility selected in SA2 is stored in the recording unit 43, and the display of the terminal device 5 that has accessed the management server 4 when starting the clinical trial facility selection process is displayed. 53 shows the clinical trial facility selected for guidance selected in SA2. Here, for example, since the clinical trial facility 21 is selected as the guidance target clinical trial facility, “IDt1”, which is the clinical trial facility ID of the clinical trial facility 21, is stored in the recording unit 43, and “A General Hospital is selected as the guidance target clinical trial facility. A message such as “It was done” is displayed on the display 53. In this case, although it is optional, the person in charge of medical information of the contracting institution 12 visually confirms the message and proposes the clinical trial to the department (or person in charge) of the clinical trial facility 21, and the clinical trial facility 21 (For example, a contract in which the contracting institution 12 or the pharmaceutical company 11 pays the clinical trial facility 21 as a price for the clinical trial facility 21 to conduct the clinical trial) I do. This completes the clinical trial facility selection process.

(Processing-Medical facility selection processing)
Next, medical facility selection processing will be described. FIG. 11 is a flowchart of the medical facility selection process. The “medical facility selection process” is a process of selecting a guidance target medical facility, for example, a process mainly performed by the management server 4. Although the timing for executing this medical facility selection process is arbitrary, for example, it will be described from the start of execution as the start of execution in the same manner as the clinical trial facility selection process of FIG.

  First, in SB1 of FIG. 11, the medical facility selection unit 442 of the management server 4 acquires information. Although a specific method is arbitrary, for example, the medical facility specifying information in FIG. 3, the medical facility side patient information in FIG. 4, the doctor information in FIG. 5, and the medicine information in FIG. 6 are acquired.

  Returning to FIG. 11, in SB2, the medical facility selection unit 442 of the management server 4 selects a medical facility to be guided. Although a specific method is arbitrary, for example, when the medical facility selection process is started, the medical information person in charge of the consignment organization 12 in FIG. 1 specifies the medical facility selection criterion information through his / her terminal device 5. And selecting based on the designated medical facility selection reference information and the information acquired in SB1.

  Here, “medical facility selection criterion information” is information indicating a criterion for selecting a medical facility, for example, a criterion regarding information that can be acquired in SB1, and as an example, a past predetermined period (for example, The number of patients who visited the hospital within 6 months, etc.) is more than a predetermined number (for example, 500 to 600), the number of beds is more than a predetermined number (for example, 11 to 12), That there are more than a certain number of doctors (for example, 5 to 6), that the total number of articles authored by each doctor is more than 250, and drugs that are the subject of clinical trials There is a medical department corresponding to the disease to be treated using the drug, and the prescribed amount of prescription or administration of an existing drug for treating the disease (that is, a drug that has already been approved and marketed) (For example, 200 kg to 250 kg) It is above the number a predetermined number of patients that were introduced to the study site as a candidate to undergo clinical trials in the past (e.g., 25 people 30 people) is a concept including such that at least.

  Here, for example, at the start of the medical facility selection process, the medical information person in charge of the commissioned organization 12 in FIG. The case where selection is made from information specifically shown in each figure as specified as medical facility selection criterion information will be described. In this case, the total number of articles of “DD 11” and “DD 12” in FIG. 5 which are doctors belonging to “A clinic” in FIG. 3 is 200 + 100 = 300 reports, and doctors belonging to “B clinic” The total number of papers of a certain “DD 21” and “DD 22” is 10 + 150 = 160, and the total number of papers of “DD 31” and “DD 31” who are doctors belonging to “C clinic” is 5 Therefore, the medical facility 31 in FIG. 1 corresponding to “A clinic” in FIG.

  Returning to FIG. 11, in SB3, the medical facility selection unit 442 of the management server 4 stores and outputs information. Although the specific method is arbitrary, for example, the guidance target medical facility selected in SB2 is stored in the recording unit 43, and the display of the terminal device 5 that has accessed the management server 4 when the medical facility selection process is started The guidance-target medical facility selected in SB2 is displayed in 53. Here, for example, since the medical facility 31 is selected as the guidance target medical facility, “IDh1”, which is the medical facility ID of the medical facility 31, is stored in the recording unit 43, and “A clinic is selected as the guidance target trial facility. A message such as “It was done” is displayed on the display 53. In this case, although it is optional, the person in charge of medical information at the consignment organization 12 introduces the patient as a candidate for the clinical trial to the department (or person in charge) of the medical facility 31 after visually confirming the message. A contract (for example, the medical facility 31 introduces the patient (for example, the medical facility 31 introduces the patient). That is, as a compensation for guiding the patient associated with the medical facility 31, the contract organization 12 or the pharmaceutical company 11 makes a contract such as paying the medical facility 31. This ends the medical facility selection process.

(Processing-Question answer information storage process)
Next, question answer information storage processing will be described. FIG. 12 is a flowchart of the question answer information storage process. The “question answer information storage process” is a process for storing the question answer information of the patient information on the medical facility side in FIG. 4, for example, a process mainly performed in the terminal device 5. This is a process performed in the terminal device 5 of the medical staff of the medical facility 3 contracted as the guidance target medical facility in SB3 (that is, selected as the guidance target medical facility in SB2). The timing for executing this question / answer information storage process is arbitrary. For example, the patient visits the medical facility 31 in FIG. 1 contracted as the guidance target medical facility in SB3 in FIG. It is explained from the start of execution that the person starts and starts execution when a predetermined operation is performed via the operation unit 52 of his / her terminal device 5 in order to make an inquiry to the patient. To do.

  First, in SC <b> 1 of FIG. 12, the control unit 56 of the terminal device 5 displays information for performing an inquiry. Although a specific method is arbitrary, for example, the trial selection success / failure information in FIG. 7 obtained by accessing the management server 4 is acquired, and the acquired trial selection success / failure information is displayed on the display 53. For details of the information display, a question corresponding to the question information in FIG. 7 is displayed, and the answer information in FIG. 7 is displayed as a candidate for an answer to the question. Here, for example, as a question corresponding to “heart attack” in FIG. 7, “Have you ever experienced a heart attack in the past? Candidates for "From 1 year ago to the present", "~ 1 year ago", "1 year ago-2 years ago", "2 years ago-3 years ago", "3 years ago-", and “None” is displayed. In addition, “stroke” and “disease” are displayed in the same manner.

  Returning to FIG. 12, in SC2, the control unit 56 of the terminal device 5 determines whether or not an answer has been accepted. Although a specific method is arbitrary, for example, it is determined whether or not the answer displayed on SC1 via the operation unit 52 has been received within a predetermined time (for example, about 5 to 6 minutes). If it is determined that the answer displayed on SC1 via the operation unit 52 has not been received within a predetermined time (NO in SC2), the process proceeds to SC4. If it is determined that the answer displayed on SC1 via the operation unit 52 is received within a predetermined time (YES in SC2), the process proceeds to SC3. Here, for example, it is assumed that the answer displayed in SC1 can be selected and input, and the medical staff visually recognizes the information displayed in SC1 and then asks the patient based on the visually recognized information. If an answer is selected and entered based on the result of the inquiry, it is determined that the answer displayed on SC1 via the operation unit 52 has been received within a predetermined time.

  In SC3, the control unit 56 of the terminal device 5 stores the answer received in SC2. The specific method is arbitrary. For example, the answer received in SC2 and the question corresponding to the answer are acquired, and the management server 4 is accessed to obtain the above-mentioned answer as the question answer information in FIG. And a combination of questions. Here, for example, when the patient ID “IDp1”, which is the patient ID in FIG. 4, is interrogated, and the answer corresponding to “heart attack” is received at SC2, the answer “none” is received. Stores “heart attack: none” in the question answer information in the upper row.

  Returning to FIG. 12, in SC4, the control unit 56 of the terminal device 5 determines whether or not to end the question / answer information storage process. Although a specific method is arbitrary, for example, an end button is displayed on the display 53, and based on whether the end button is pressed within a predetermined time (for example, 5 seconds to 10 seconds). judge. If the end button is not pressed within the predetermined time, it is determined that the question / answer information storage process is not to be ended (NO in SC4), and the process proceeds to SC2. Here, for example, by repeatedly executing SC2 and SC3 thereafter, “stroke: 2 to 3 years ago”, “disease: hypertension”, etc. of the top-level question answer information in FIG. 4 are also stored. become. If the end button is pressed within a predetermined time, it is determined that the question answer information storage process is to be ended (YES in SC4), and the process ends. This completes the question answer information storage process.

(Processing-Patient guidance processing)
Next, patient guidance processing will be described. FIG. 13 is a flowchart of patient guidance processing. The “patient guidance process” is a process for guiding a patient to a clinical trial facility, for example, a process mainly performed by the management server 4. The timing for executing this patient guidance process is arbitrary. For example, after performing the question / answer information storage process of FIG. 12, the patient is contracted as a guidance target medical facility in SB3 of FIG. The medical staff of the medical facility 31 in FIG. 1 (selected as a medical facility) executes question answer information storage processing periodically (for example, every week) in response to a request from a patient or regardless of the request. In order to access the management server 4 as much as possible, it will be described that the execution is started from the start when the predetermined operation is performed via the operation unit 52 of the terminal device 5 of the terminal 5 and the execution is started. Here, in particular, the medical staff of the medical facility 31 regularly checks whether or not there is a patient who should guide the trial among the patients of his / her own medical facility 31, and whether or not there is a request from the patient. Regardless, the following description will be given on the assumption that the patient guidance process is periodically started in order to perform the confirmation for all the patients in the medical facility 31 of the patient.

  First, in SD1, the patient selection unit 441 of the management server 4 acquires information. Although a specific method is arbitrary, for example, at the time of starting the patient guidance process, the medical facility 31 to which the terminal device 5 belongs from the terminal device 5 on the medical staff side of the medical facility 31 to the management server 4. The medical facility ID “IDh1” is transmitted, and the patient selection unit 441 acquires the transmitted medical facility ID and associates the acquired medical facility ID with the acquired medical facility ID in FIG. The specified patient ID is specified, and thereafter, information associated with the specified patient ID in the medical facility side patient information of FIG. 4 is acquired including the patient ID. In addition, the patient selection unit 441 obtains trial selection condition information (not shown) stored in the trial selection success / failure information and the medical facility related information DB 431 of FIG.

  Here, for example, “IDh1” that is the transmitted medical facility ID is acquired, and “IDp1” and “IDp2” that are patient IDs associated with the “IDh1” in the medical facility specifying information of FIG. After that, information on the top and second levels of the drawing is acquired from the medical facility side patient information of FIG. Further, for example, the trial selection success / failure information in FIG. 7 and the trial selection condition information (not shown) are acquired.

  Returning to FIG. 13, in SD2, the patient selection unit 441 of the management server 4 selects a patient to be guided. Although a specific method is arbitrary, for example, based on the medical facility side patient information of FIG. 4 acquired by SD1, the trial selection success / failure information of FIG. 7, and the clinical trial selection condition information not shown, the guidance is provided to the clinical trial facility 2. Select a patient. Specifically, for each of the question answer information of FIG. 4 acquired in SD1, assign “Yes” or “No” of the success / failure information of FIG. It is determined for each patient whether or not “that is all is true”, and the patient determined to be applicable is selected as a patient to be guided to the clinical trial facility 2.

  Here, for example, in the case of “PP 11”, which is the patient of FIG. 4, “Heart attack: none, stroke: 2 to 3 years ago, chronic disease: high blood pressure,...” “Heart attack” = “this”, “stroke” = “this”, and “disease” = “this” are assigned, and “heart attack: 1 year ago” which is the question answer information of the patient “PP 12” 2 years ago, any time, “Stroke: None, Chronic Disease: Diabetes,…”, assign “Heart Attack” = “To”, “Stroke” = “To”, and “Disease” = “To” The patients “PP 11” and “PP 12” are selected based on the clinical trial selection condition information that corresponds to “no-failure information (that is, all is true)”.

  Returning to FIG. 13, in SD3, the patient selection unit 441 of the management server 4 stores the information. The specific method is arbitrary, but in the patient information on the medical facility side in FIG. 4, the information on the patient selected in the above-described SD2 is acquired, and the clinical trial facility ID stored in the recording unit 43 in SA3 in FIG. After the acquisition, the acquired information is stored as a part of the clinical trial related patient information in FIG. 9 (information other than the clinical trial determination result information). Here, for example, the information on the top and second stages of the drawing is acquired from the patient information on the medical facility side in FIG. 4, and “IDt1” that is the trial facility ID stored in the recording unit 43 in SA3 of FIG. After acquisition, the acquired information is stored as information on the top and second stages of the drawing other than the clinical trial determination result information of FIG.

  Returning to FIG. 13, the guide unit 444 of the management server 4 guides in SD4. Although a specific method is arbitrary, the patient selected in SD2 is guided to the guidance target clinical trial facility selected in SA2 of FIG. Specifically, in the same manner as in SD3, after acquiring the clinical trial facility ID stored in the recording unit 43 in SA3 of FIG. 10, when starting the patient guidance process, the display 53 of the terminal device 5 that has accessed the management server 4 is displayed. On the other hand, information for introducing the patient selected in SD2 of FIG. 13 is displayed in the clinical trial facility 2 specified by the acquired clinical trial facility ID. Here, for example, after acquiring “IDt1”, there is a possibility that “PP 11” and “PP 12”, which are patients, may be subjects of clinical trials conducted at A General Hospital. Please introduce a clinical trial message to the display 53 for guidance. In this case, although it is optional, the medical staff of the medical facility 3 makes a proposal for a clinical trial for the patients “PP 11” and “PP 12” after visually confirming the message. This completes the patient guidance process.

(Processing-Clinical trial decision processing)
Next, the clinical trial determination process will be described. FIG. 14 is a flowchart of the clinical trial determination process. “Clinical trial determination process” is a process for determining whether or not to conduct a clinical trial, for example, a process mainly performed by the management server 4. The timing for executing this clinical trial determination process is arbitrary. For example, after the patient guidance process of FIG. 13 is performed, the patient selected in SD2 of FIG. 13 becomes the trial clinical trial facility in SA2 of FIG. After visiting the selected clinical trial facility 21 and undergoing a detailed examination (for example, a blood test (such as a test for counting red blood cells and white blood cells), an MRI test (such as a test for measuring the size of cancer)), the clinical trial facility 21 Assuming that a medical worker of a particular person starts up and starts executing a predetermined operation via the operation unit 52 of his / her terminal device 5 in order to access the management server 4 to execute the clinical trial determination process This will be explained from the start of execution.

  First, in SE1 of FIG. 14, the determination unit 445 of the management server 4 acquires information. Although the specific method is arbitrary, for example, the result of the close examination performed before starting the clinical trial determination process is stored in association with the information of each patient in the clinical trial related patient information of FIG. 9, information other than the clinical trial facility ID and clinical trial determination result information is acquired from the information shown in FIG. 9, the information of the stored detailed examination results is acquired, and the clinical trial facility is acquired. “The number of red blood cells and white blood cells is within a predetermined range and the size of cancer is within a predetermined range”, which is clinical trial determination criterion information in the related information DB 432, is acquired.

  Returning to FIG. 14, in SE2, the determination unit 445 of the management server 4 determines whether or not to conduct a clinical trial. Although the specific method is arbitrary, for example, the determination is made based on each information acquired in SD1, but in detail, the number of red blood cells and white blood cells specified by the acquired information on the result of the detailed examination is the clinical trial criterion information. Is based on whether or not the size of the cancer specified by the information on the results of the obtained detailed examination is within the predetermined range specified by the clinical trial criteria information. judge. If it is determined that the number of red blood cells and white blood cells is within a predetermined range and the size of the cancer is within a predetermined range, it is determined that a clinical trial is to be performed, and in other cases (that is, red blood cells) If the number of white blood cells is not within the predetermined range or the size of the cancer is not within the predetermined range, it is determined that the clinical trial is not performed. Here, for example, it is determined that the clinical trial is performed on the patient “PP 11”, and the clinical trial is not performed on the patient “PP 12”.

  Returning to FIG. 14, in SE3, the output unit 446 of the management server 4 stores and outputs information. Although the specific method is arbitrary, for example, the determination result of SE2 is stored in the clinical trial determination result information of FIG. 9, and the display 53 of the terminal device 5 that has accessed the management server 4 when starting the clinical trial determination process is used. Display the determination result in SE2. Here, for example, in the clinical trial determination result information of FIG. 9, since it is determined that the patient “PP 11” is to be treated, the “subject” is stored, and the patient “PP 12” is treated. Since it is determined not to be performed, “non-target” is stored. In addition, for example, on the display of the terminal device 5 of the medical staff at the clinical trial facility 21, “PP 11” as a patient is the subject of the clinical trial, but “PP 12” as the patient is the subject of the clinical trial. A message such as “I was not there” is displayed. In this case, although it is optional, the medical staff at the clinical trial facility 21 visually confirms the message and informs each patient of the availability of the clinical trial. This completes the clinical trial determination process.

(Effect of embodiment)
As described above, according to the embodiment, by selecting the patient to be guided to the clinical trial facility based on the clinical trial selection criterion information and the patient information, for example, the patient can be limited based on the selection criterion for selecting the patient. Therefore, it is possible to easily collect patients suitable for the clinical trial. In addition, for example, since a patient can be selected based on patient information, it is not necessary to recruit patients using newspaper advertisements, etc., and it is possible to reduce the cost of clinical trials by reducing patient recruitment costs. .

  Further, by guiding the patient selected by the patient selection unit 441 to the clinical trial facility, for example, a patient who can be a candidate for the clinical trial can be surely visited the clinical trial facility 2, so that a patient suitable for the clinical trial can be selected. It becomes possible to make it easy to collect reliably. Further, for example, regardless of whether or not the patient has recognized the existence of the clinical trial, it is possible to present a new treatment option to the patient.

  In addition, by selecting a guidance target medical facility, which is a medical facility 3 that should guide the patient to the clinical trial facility 2, from a plurality of medical facilities 3, for example, a contract for guiding the patient for clinical trials can be made with any medical facility 3. Since it is no longer necessary to conclude a contract, it is possible to reduce the cost of concluding the above-mentioned contract (for example, the cost of negotiations or the cost of money to be paid as a price), thereby suppressing the cost of clinical trials. In addition, for example, since it is possible to prevent patients from being introduced from any medical facility 3 to the clinical trial facility 2, it is possible to prevent an increase in the number of patients being introduced and hinder the work on the clinical trial facility 2 side. It becomes possible to do.

  In addition, by selecting a clinical trial facility 2 as a clinical trial facility 2 to guide a patient from a plurality of clinical trial facilities 2, for example, a clinical trial facility 2 suitable for the clinical trial can be selected. Accuracy can be improved.

  Further, by determining whether or not to conduct a clinical trial, for example, it is possible to reduce the work process involving humans in relation to the clinical trial, and thus it is possible to reduce the work burden for conducting the clinical trial.

[Modification]
While the embodiments of the present invention have been described above, the specific configuration and means of the present invention can be arbitrarily modified and improved within the scope of the technical idea of each invention described in the claims. Hereinafter, such a modification will be described.

(About problems to be solved and effects of the invention)
First, the problems to be solved by the invention and the effects of the invention are not limited to the above-described contents, and the present invention solves the problems not described above or has the effects not described above. There are also cases where only some of the described problems are solved or only some of the described effects are achieved.

(About distribution and integration)
Further, each of the electrical components described above is functionally conceptual and does not necessarily need to be physically configured as illustrated. In other words, the specific forms of distribution and integration of each unit are not limited to those shown in the drawings, and all or a part thereof may be functionally or physically distributed or integrated in arbitrary units according to various loads or usage conditions. Can be configured. In addition, the “system” in the present application is not limited to one configured by a plurality of devices, but includes one configured by a single device. In addition, the “apparatus” in the present application is not limited to one configured by a single apparatus, but includes one configured by a plurality of apparatuses. Further, the data structure of each piece of information (including DB) described in the above embodiment may be arbitrarily changed.

(About shape, numerical value, structure, time series)
Regarding the constituent elements exemplified in the embodiment and the drawings, the shape, numerical value, or the structure of a plurality of constituent elements or the mutual relationship in time series may be arbitrarily modified and improved within the scope of the technical idea of the present invention. Can do.

(Selection of clinical trial facilities for guidance)
Further, in SA2 of FIG. 10 in the above embodiment, the guidance target clinical trial facility may be selected based on other criteria. For example, in the case of the clinical trial facility 2, information similar to one or more pieces of information of the medical facility specifying information in FIG. 3 is stored, and the guidance-target medical facility is selected using this information. In the same manner as described above, a guidance target clinical trial facility may be selected.

(About each process (1))
Moreover, about each process of the said embodiment, it operate | moves on arbitrary conditions and order different from the starting conditions or starting order described in embodiment, and a part of process is abbreviate | omitted in the medical system 400. You may change so that it may correspond to the actual condition of a medical environment. For example, the clinical trial facility or the medical facility to be guided is determined in advance, and the clinical trial facility is selected from the clinical facility selection process, the medical facility selection process, the question answer information storage process, the patient guidance process, and the clinical trial determination process. The selection process and the medical facility selection process may be omitted, and the remaining processes may be performed for each predetermined facility.

(About each process (2))
In addition, if an agreement has been obtained in advance that the clinical trial facility 2 and the medical facility 3 will be used as the clinical trial facility or the medical facility to be used as each of these facilities, the above implementation In this embodiment, human intervention may be omitted as much as possible. Specifically, the processes shown in FIGS. 10 to 14 may be automated by being configured to be repeatedly executed every predetermined time (for example, 24 hours to 48 hours). In this case, referring to the information stored in SA3 of FIG. 10 and SB3 of FIG. 11, the guidance-target clinical trial facility and the guidance-target medical facility may be grasped, and automatic processing may be performed based on the grasped information. Further, when automating in this way, in order to omit the intervention of medical personnel as much as possible, the guidance of SD4 in FIG. 13 and the output of SE3 in FIG. A message may be directly output to a home PC or the like.

(About information output)
In addition, the information displayed and output in the above embodiment may be output as audio by the speaker 54 in FIG.

(About execution by others)
Further, the question answer information storage process of FIG. 3 of the above embodiment may be performed by a person other than the medical staff (for example, SMO (Site Management Organization) which is a clinical trial facility support organization).

(About each step)
Moreover, a part of each step of the above embodiment may be omitted, a part may be extracted and operated in parallel, or replaced with an additional step indicating a known process, or the additional step may be replaced. And may be added. For example, although SC1 to SC4 in FIG. 12 are described in series for convenience of explanation, for example, SC4 that is an end condition may be extracted and operated in parallel for the remaining processes.

(About the re-guide section)
Moreover, in the said embodiment, you may provide a re-guide part. Here, the “re-guide unit” is a re-guide unit that guides a patient who has not been determined to perform a clinical trial by the determination unit to another clinical trial facility. Further, the “other clinical trial facility” is a clinical trial facility different from the clinical trial facility in which the patient was not determined to conduct the clinical trial. For example, the clinical trial facility 21 in FIG. If not, it corresponds to the clinical trial facility 22 or the clinical trial facility 23. Here, according to the viewpoint of the patient to be re-guided, it is necessary to guide the clinical trial facility conducting the clinical trial related to the patient's disease as another clinical trial facility. It is possible that multiple types of drug trials (of the same pharmaceutical company or different pharmaceutical companies from each other) are conducted at the same time for one type of disease. Institutions that are conducting clinical trials for drugs effective in treating the disease of patients being treated are referred to as other clinical trial institutions. In the case of performing the re-guidance, the same guidance as the patient guidance process in the embodiment may be performed for guidance, or a reference different from the reference described in the embodiment may be provided and the reference may be used. Or may be guided unconditionally once considering that the patient has become a candidate for the trial. In addition, the above-mentioned re-guidance is also provided to patients who have been determined to conduct clinical trials but who have not been able to undergo clinical trials as a result of the total number of those conducting clinical trials exceeding a certain number determined by the pharmaceutical company. You may go. By configuring in this way, it is possible to easily collect patients suitable for clinical trials at other clinical trial facilities by guiding patients who have not been determined to conduct clinical trials to other clinical trial facilities. It becomes. In addition, for example, a new treatment option can be presented to a patient who wishes to take a clinical trial.

(About the use of information)
In addition, communication is performed between the management server 4 and the terminal device 5 in the course of performing arbitrary processing (known processing other than each processing described above or each processing) performed using the medical system 400 of the above embodiment. The information may be stored with an identifier for later retrieval. When comprised in this way, it becomes possible to contribute to the business (for example, doctor's paper preparation business etc.) of a medical worker.

(About clinical trial results)
Further, the medical system 400 of the above embodiment may be configured to manage the results of clinical trials. For example, the management server 4 stores and manages the clinical trial progress or results of each of the patients in which the pharmaceutical company 11 or the contracted organization 12 or the medical personnel in the clinical trial facility 2 conducted the clinical trial. Also good.

(About interpretation of medical system)
Regarding the interpretation of “medical system”, the management server and the terminal device have been described as medical systems in the above embodiment, but only the management server may be interpreted as a medical system.

(About multiple elements)
Moreover, in the said embodiment, in order to conduct one type of medicine clinical trial, the case where the guidance object clinical facility and the guidance object medical facility were selected one by one was illustrated, but it is not limited thereto. For example, one clinical trial facility or medical facility may function as a clinical trial target facility or guidance target medical facility for a plurality of types of drugs at the same time. In this case, according to the incentive from each of a plurality of pharmaceutical companies for a plurality of drugs, the trial facility or medical facility may guide the patient or conduct the trial. Also, for example, from the viewpoint of preventing excessive competition between pharmaceutical companies, one clinical trial facility or medical facility is allowed to function as a clinical trial facility or medical facility targeted for guidance for only one type of drug at the same time. You may restrict.

(About features)
Further, the features of the above embodiment and the features of the modification may be arbitrarily selected and combined.

(Appendix)
The medical system of Supplementary Note 1 stores clinical trial selection criteria information storage means for storing clinical trial selection criteria information for specifying selection criteria for selecting a patient to be guided to a clinical trial facility conducting clinical trials, and patient information for specifying the patient information The patient to be guided to the clinical trial facility based on the patient information storage means, the trial selection reference information stored in the trial selection reference information storage means, and the patient information stored in the patient information storage means And a patient selecting means for selecting.

  The medical system according to supplementary note 2 is provided with guide means for guiding the patient selected by the patient selecting means to the clinical trial facility in the medical system according to supplementary note 1.

  The medical system according to appendix 3 is the medical system according to appendix 2, wherein medical facility information storage means for storing medical facility information, which is information related to a plurality of medical facilities where the patient receives medical services, and the medical facility information storage means Medical facility selection means for selecting, from the plurality of medical facilities, a medical facility to be guided, which is a medical facility to guide the patient to the clinical trial facility based on the medical facility information stored in The means guides the patient receiving the medical service of the guidance target medical facility selected by the medical facility selection means to the clinical trial facility.

  The medical system according to appendix 4 is the medical system according to appendix 2 or 3, wherein clinical facility information storage means for storing clinical trial facility information, which is information related to a plurality of the clinical trial facilities, is stored in the clinical trial facility information storage means. Trial facility selection means for selecting, from the plurality of clinical trial facilities, a clinical trial facility that is the clinical trial facility to guide the patient based on the clinical trial facility information, and the guidance means selects the clinical trial facility selection The patient is guided to the guidance target clinical trial facility selected by the means.

  The medical system according to appendix 5 is the clinical trial criteria for storing clinical trial criteria information for specifying the criteria for judging whether or not to conduct the clinical trial of the patient in the medical system according to any one of appendices 2 to 4. An information storage means; and a determination means for determining whether or not to conduct a clinical trial on the patient guided by the guidance means to the clinical trial facility based on the clinical trial judgment criteria information stored in the clinical trial judgment criteria information storage means; Output means for outputting the determination result of the determination means.

  The medical system according to appendix 6 includes a re-guiding unit that guides the patient who has not been determined to be clinically tested by the determination unit in the medical system according to appendix 5 to another clinical trial facility.

  The medical program of appendix 7 is a medical program for selecting a patient to be guided to a clinical trial facility for conducting a clinical trial, and stores a clinical trial selection criterion information for specifying a selection criterion for selecting the patient to be guided to the clinical trial facility. Based on the clinical trial selection criteria information stored in the clinical trial selection criteria information storage means and the patient information stored in patient information storage means for storing patient information specifying the patient information related to the selection criteria, the It functions as a patient selection means for selecting the patient to be guided to the clinical trial facility.

(Additional effects)
According to the medical system described in Supplementary Note 1, by selecting a patient to be guided to a clinical trial facility based on clinical trial selection criteria information and patient information, for example, limiting patients based on selection criteria for selecting patients Therefore, it is possible to easily collect patients suitable for the clinical trial. In addition, for example, since a patient can be selected based on patient information, it is not necessary to recruit patients using newspaper advertisements, etc., and it is possible to reduce the cost of clinical trials by reducing patient recruitment costs. .

  According to the medical system described in Appendix 2, by guiding the patient selected as the patient selection means to the clinical trial facility, for example, a patient who can be a candidate for the clinical trial can be surely visited the clinical trial facility. Thus, it is possible to reliably collect patients suitable for the clinical trial. Further, for example, regardless of whether or not the patient has recognized the existence of the clinical trial, it is possible to present a new treatment option to the patient.

  According to the medical system described in Appendix 3, for example, a contract for guiding a patient for a clinical trial is made by selecting a medical facility to be guided from a plurality of medical facilities as a medical facility where the patient should be guided to the clinical trial facility. Since it is no longer necessary to tie up with any medical facility, it is possible to reduce the cost of making a contract as described above (for example, negotiation costs, monetary cost to be paid as a compensation, etc.), and thus the cost of clinical trials can be suppressed. In addition, for example, since it is possible to prevent patients from being referred to the clinical trial facility from any medical facility, it is possible to prevent an increase in the number of patients being referred to and hinder the work on the clinical trial facility. It becomes possible.

  According to the medical system described in Appendix 4, for example, a clinical trial facility suitable for a clinical trial can be selected by selecting a clinical trial facility that is a clinical trial facility to guide a patient from a plurality of clinical trial facilities. , Can improve the accuracy of clinical trials conducted.

  According to the medical system described in appendix 5, by determining whether or not to conduct a clinical trial, for example, it is possible to reduce the work process involving humans in relation to the clinical trial, thereby reducing the work burden for conducting the clinical trial. It becomes possible.

  According to the medical system described in Appendix 6, by guiding a patient who has not been determined to conduct a clinical trial to another clinical trial facility, for example, it is easy to collect patients suitable for the clinical trial at the other clinical trial facility. It becomes possible. In addition, for example, a new treatment option can be presented to a patient who wishes to take a clinical trial.

  According to the medical program described in Appendix 7, by selecting a patient to be guided to the clinical trial facility based on the selection criterion information and the patient information, for example, the patient can be limited based on the selection criterion for selecting the patient. Therefore, it is possible to easily collect patients suitable for the clinical trial. In addition, for example, since a patient can be selected based on patient information, it is not necessary to recruit patients using newspaper advertisements, etc., and it is possible to reduce the cost of clinical trials by reducing patient recruitment costs. .

2 clinical trial facility 3 medical facility 4 management server 5 terminal device 11 pharmaceutical company 12 contract organization 21 clinical trial facility 22 clinical trial facility 23 clinical trial facility 31 medical facility 32 medical facility 33 medical facility 41 communication unit 42 operation unit 43 recording unit 44 control unit 51 communication Unit 52 Operation unit 53 Display 54 Speaker 55 Recording unit 56 Control unit 400 Medical system 431 Medical facility related information DB
432 Clinical trial facility related information DB
441 Patient selection unit 442 Medical facility selection unit 443 Clinical trial facility selection unit 444 Guide unit 445 Determination unit 446 Output unit

Claims (6)

Clinical trial selection criteria information storage means for storing clinical trial selection criteria information for specifying selection criteria for selecting patients to be guided to a clinical trial facility performing clinical trials;
Patient information storage means for storing patient information for identifying the patient information;
The CPU acquires the clinical trial selection criterion information stored in the clinical trial selection criterion information storage unit and the patient information stored in the patient information storage unit, and the acquired clinical trial selection criterion information and the patient information Based on the patient selection means for selecting the patient to be guided to the clinical trial facility;
The CPU guides the patient selected by the patient selection means to the clinical trial facility;
Medical facility information storage means for storing medical facility information which is information related to a plurality of medical facilities where the patient receives medical services;
The CPU acquires the medical facility information stored in the medical facility information storage means, and based on the acquired medical facility information, the guidance target medical facility is a medical facility that should guide the patient to the clinical trial facility. And a medical facility selecting means for selecting the medical facility from the plurality of medical facilities,
The guidance means guides the patient receiving the medical service of the guidance target medical facility selected by the medical facility selection means to the clinical trial facility,
The medical facility information storage means stores, as the medical facility information, at least paper number information that specifies the number of papers that are authors of doctors belonging to the plurality of medical facilities,
The medical facility selection means selects the guidance target medical facility based on the number-of-papers information stored in the medical facility information storage means.
Medical system. The medical facility information storage means stores, as the medical facility information, at least introduction performance information for identifying the results of the number of candidates introduced as candidates for clinical trials,
The medical facility selection means selects the guidance target medical facility based on the introduction performance information stored in the medical facility information storage means.
The medical system according to claim 1. Clinical trial facility information storage means for storing clinical trial facility information which is information relating to a plurality of clinical trial facilities;
The CPU acquires the clinical trial facility information stored in the clinical trial facility information storage means, and based on the acquired clinical trial facility information, a plurality of guidance target clinical trial facilities that are the clinical trial facility to guide the patient are provided. Clinical trial facility selection means for selecting from the clinical trial facility,
The guidance means guides the patient to the guidance target clinical trial facility selected by the clinical trial facility selection means.
The medical system according to claim 1 or 2 . Clinical trial criteria information storage means for storing clinical criteria information for identifying criteria for determining whether or not to conduct the clinical trial of the patient;
The CPU acquires the clinical trial criteria information stored in the clinical trial criteria information storage means, and based on the acquired clinical trial criteria information, the guide means conducts a clinical trial for the patient guided to the clinical trial facility. Determining means for determining whether or not to perform;
The CPU includes output means for outputting a determination result of the determination means;
The medical system according to any one of claims 1 to 3 . The CPU includes a re-guiding unit that guides the patient that has not been determined to be clinically tested by the determining unit to another clinical trial facility.
The medical system according to claim 4 . A medical program for selecting patients to be guided to a clinical trial facility where a clinical trial is conducted,
Computer
The clinical trial selection criterion information stored in the clinical trial selection criterion information storage means for storing clinical trial selection criterion information for specifying the selection criterion for selecting the patient to be guided to the clinical trial facility by the CPU, and the patient information regarding the selection criterion The patient information stored in the patient information storage means for storing the patient information for identifying the patient is selected, and the patient to be guided to the clinical trial facility is selected based on the acquired clinical trial selection criteria information and the patient information Patient selection means to
Guidance means for guiding the patient selected by the patient selection means to the clinical trial facility;
The CPU acquires the medical facility information stored in medical facility information storage means for storing medical facility information, which is information related to a plurality of medical facilities where the patient receives medical services, and based on the acquired medical facility information And a medical facility selection means for selecting a guidance target medical facility that is a medical facility to guide the patient to the clinical trial facility from the plurality of medical facilities,
The guidance means guides the patient receiving the medical service of the guidance target medical facility selected by the medical facility selection means to the clinical trial facility,
The medical facility information storage means stores, as the medical facility information, at least paper number information that specifies the number of papers that are authors of doctors belonging to the plurality of medical facilities,
The medical facility selection means selects the guidance target medical facility based on the number-of-papers information stored in the medical facility information storage means.
Medical program.

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